Organization Name: | WESTSIDE PODIATRY CENTER, LLP |
NPI Number: | 1396899365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES WILLIAM FARRELL (PARTNER OWNER) |
Mailing Address: | 27 Fennell St Skaneateles |
State: | NY US |
Postal Code: | 131521158 |
Phone Number: | 3156853338 |
Fax Number: | 3156856391 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | N003729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |